S&C QCOR EMTALA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
EMTALA 2567sPlease see here for information and guidance related to the Emergency Medical Treatment & Labor Act (EMTALA).
Selection Criteria

Time Interval

Please select the calendar year or years for which you would like data.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Results

Use these filters if you want to limit the report to providers that were cited for specific EMTALA deficiency tag citations. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Facility Name or CCN

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

CMS Certification Number Facility Name Hospital Subtype Address City State Date of CMS Survey Survey Event ID Survey Type Deficiency Tags Deficiency Descriptions Statement of Deficiencies Report
241318 Ely - Bloomenson Community Hospital Critical Access Hospitals 328 West Conan Street Ely MN 10/02/2019 QNLC11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
241318 Ely - Bloomenson Community Hospital Critical Access Hospitals 328 West Conan Street Ely MN 02/18/2021 N77J11 Complaint C2400, C2406 Compliance With 489.24; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2406 MEDICAL SCREENING EXAM Standard
241325 Ccm Health Critical Access Hospitals 824 North 11th Street Montevideo MN 08/26/2015 QKCP11 Complaint C2402, C2405 Emergency Room Log; Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2402 POSTING OF SIGNS Standard
C2405 EMERGENCY ROOM LOG Standard
241329 Lakewood Health System Critical Access Hospitals 49725 County Road 83 Staples MN 07/01/2014 YLFC11 Complaint C2402 Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2402 POSTING OF SIGNS Standard
241329 Lakewood Health System Critical Access Hospitals 49725 County Road 83 Staples MN 09/21/2015 9FCG11 Complaint C2400, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
241337 North Valley Health Center Critical Access Hospitals 300 West Good Samaritan Drive Warren MN 09/18/2025 L8I711 Complaint C2402 Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2402 POSTING OF SIGNS Standard
241338 Mayo Clinic Health System - Lake City Critical Access Hospitals 500 West Grant Street Lake City MN 04/16/2010 6K4411 Complaint A2400, A2405, A2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam
Deficiency Tag Deficiency Description Tag Type
A2400 COMPLIANCE WITH 489.24 Standard
A2405 EMERGENCY ROOM LOG Standard
A2406 MEDICAL SCREENING EXAM Standard
241338 Mayo Clinic Health System - Lake City Critical Access Hospitals 500 West Grant Street Lake City MN 10/07/2019 NS5911 Complaint C2402, C2406 Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2402 POSTING OF SIGNS Standard
C2406 MEDICAL SCREENING EXAM Standard
241339 Hendricks Community Hospital Critical Access Hospitals 503 E Lincoln Street Hendricks MN 09/07/2011 8HT111 Complaint C2400, C2402, C2405, C2406 Compliance With 489.24; Emergency Room Log; Medical Screening Exam; Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2402 POSTING OF SIGNS Standard
C2405 EMERGENCY ROOM LOG Standard
C2406 MEDICAL SCREENING EXAM Standard
241341 Appleton Area Health Critical Access Hospitals 30 S Behl St Appleton MN 10/12/2010 RE2511 Complaint C2400, C2402, C2404, C2409 Appropriate Transfer; Compliance With 489.24; On Call Physicians; Posting Of Signs
Deficiency Tag Deficiency Description Tag Type
C2400 COMPLIANCE WITH 489.24 Standard
C2402 POSTING OF SIGNS Standard
C2404 ON CALL PHYSICIANS Standard
C2409 APPROPRIATE TRANSFER Standard